Cyndi113
True Blue
Good morning, Everyone!
Does anyone have any documentation or resources to determine when a visit is considered final? We are being asked for visit documentation by Medicare for an appeal. This visit was coded prior to my employment. I was asked to review it prior to our appeal. On the original documentation, the correct diagnosis was not included in the physician's impression and plan. I requested that it be included as a late entry (it was documented in the HPI and exam). However, this visit was completed in March. I read the most recent Medicare guideline from this July but it does not state how far back a physician may correct documentation.
Any advice?
Does anyone have any documentation or resources to determine when a visit is considered final? We are being asked for visit documentation by Medicare for an appeal. This visit was coded prior to my employment. I was asked to review it prior to our appeal. On the original documentation, the correct diagnosis was not included in the physician's impression and plan. I requested that it be included as a late entry (it was documented in the HPI and exam). However, this visit was completed in March. I read the most recent Medicare guideline from this July but it does not state how far back a physician may correct documentation.
Any advice?